ATI RN ADULT MEDICAL
SURGICAL PROCTORED
EXAM 2019
,RN VATI Adult Medical Surgical 2019
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Question:
CORRECT
90 of 90
Time Remaining: 00:38:42
Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which of
the following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of
hypopigmentation. Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth, especially on the facial area.
Thinning of the skin
MY ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topical fluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
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Question:
89 of 90
CORRECT
Med C
, Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building up
in the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venous system.
Frothy sputum
MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should notify the provider immediately.
RN VATI Adult Medical Surgical 2019
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Question:
88 of 90
CORRECT
, FLAG
A nurse is caring for a client who is experiencing anxiety as well as numbness and
tingling of the lips and fingers. The client's ABGs are: pH 7.48, PCO 2 30 mm Hg, HCO3-
24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the
nurse identify that the client is experiencing?
Respiratory alkalosis
MY ANSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar
2
hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO2 is decreased. A decreased pH and an increased
PCO indicate respiratory acidosis.
2
Metabolic alkalosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). An increased pH and HCO indicate metabolic alkalosis.
3-
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). A decreased pH and HCO indicate metabolic acidosis.
3-
RN VATI Adult Medical Surgical 2019
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Question:
87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
Vitiligo
Med C
SURGICAL PROCTORED
EXAM 2019
,RN VATI Adult Medical Surgical 2019
CLOSE
stion90loadedrationalsprovided
Question:
CORRECT
90 of 90
Time Remaining: 00:38:42
Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is caring for a client who has atopic dermatitis and a prescription for
triamcinolone ointment. The nurse should assess the client to monitor for which of
the following adverse effects?
Increased pigmentation
Topical glucocorticoid therapy can cause the adverse effect of
hypopigmentation. Localized hair loss
Long-term glucocorticoid therapy can cause hypertrichosis, or excessive hair
growth, especially on the facial area.
Thinning of the skin
MY ANSWER
Thinning of the skin and delayed healing are adverse effects of topical glucocorticoid
preparations. The client should only apply the ointment to dry patches of the skin
because topical steroids can cause atrophy of the dermis and epidermis, which can
result in thinning of the skin.
Increased sensitivity to the sun
The nurse should instruct the client to avoid excessive sun exposure when taking
topical fluticasone; however, triamcinolone ointment does not cause photosensitivity.
RN VATI Adult Medical Surgical 2019
CLOSE
stion89loadedrationalsprovided
Question:
89 of 90
CORRECT
Med C
, Pause Remaining:
00:05:00
PAUSE
FLAG
A nurse is assessing a client who has left-sided heart failure. Which of the following
findings should the nurse identify as a manifestation of left-sided heart failure?
Dependent edema
The nurse should identify that dependent edema is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building
up in the venous system.
Jugular distention
The nurse should identify that jugular vein distention is a manifestation of right-sided
heart failure due to right ventricular failure and fluid retention from pressure building up
in the venous system.
Weight gain
The nurse should identify that weight gain is a manifestation of right-sided heart failure
due to right ventricular failure and fluid retention from pressure building up in the
venous system.
Frothy sputum
MY ANSWER
The nurse should identify that frothy sputum, dyspnea, and wheezing are
manifestations of left-sided heart failure. Treatment includes fluid restriction and
diuretics to decrease preload and reduce pulmonary congestion. Pink-tinged frothy
sputum can be an early indication of pulmonary edema and can be life-threatening.
Therefore, the nurse should notify the provider immediately.
RN VATI Adult Medical Surgical 2019
CLOSE
stion88loadedrationalsprovided
Question:
88 of 90
CORRECT
, FLAG
A nurse is caring for a client who is experiencing anxiety as well as numbness and
tingling of the lips and fingers. The client's ABGs are: pH 7.48, PCO 2 30 mm Hg, HCO3-
24 mEq/L, PaO2 85 mm Hg. Which of the following acid-base imbalances should the
nurse identify that the client is experiencing?
Respiratory alkalosis
MY ANSWER
This pH is alkaline (increased) and the PCO is decreased, representing alveolar
2
hyperventilation and resultant respiratory alkalosis.
Respiratory acidosis
This pH is alkaline (increased) and the PCO2 is decreased. A decreased pH and an increased
PCO indicate respiratory acidosis.
2
Metabolic alkalosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is alkaline
3-
(increased). An increased pH and HCO indicate metabolic alkalosis.
3-
Metabolic acidosis
This HCO 24 mEq/L is within the expected range of 21 to 28 mEq/L and the pH is
3-
alkaline (increased). A decreased pH and HCO indicate metabolic acidosis.
3-
RN VATI Adult Medical Surgical 2019
CLOSE
stion87loadedrationalsprovided
Question:
87 of 90
CORRECT
Time Remaining: 00:37:22
Pause Remaining: 00:05:00
PAUSE
FLAG
A nurse is assessing a client who has Cushing's syndrome. Which of the
following findings should the nurse expect?
Vitiligo
Med C
